Application Of Overlapping Idioms In Speech Rehabilitation Of Non-fluent Aphasia

Objective : To investigate whether there is a difference between the reading of four-character and non-overlapping Chinese idioms in patients with non-fluent aphasia in stroke,and to select the idioms that are easy to read as the language material of speech rehabilitation according to the reading test results of idioms.Based on the speech rehabilitation strategy of Chinese idioms,this paper explores the effect of using Chinese idioms with Chinese characteristics as language materials in the speech rehabilitation of stroke non-fluent aphasia.Method:1.The first part of the study(speaking output test of two types of idioms): using the convenience sampling method and the purpose sampling method to select the neurological department admitted to a top three hospital in Hubei Province from April2017 to March 2018.For patients with non-fluent aphasia in stroke,the 65 patients were first tested for two types of four-character idioms(stacked and unfolded),with60 idioms and non-overlapping idioms,each idiom.For 1 point,the total score is 60 points.Compare the oral output of the idioms and the spoken output of the non-overlapping idioms.According to the results of the read test,select the easy-to-read idioms as the language of speech rehabilitation.Materials,formulate speech rehabilitation based on Chinese idioms.2.The second part of the study(speech rehabilitation training based on Chinese idioms): According to the principle of randomized control,65 patients were divided into control group and observation group,32 cases in the control group and 33 cases in the observation group.The control group was given neurological routine nursing.Specialized nursing and medical treatment,the observation group is based on neurological routine nursing,specialist nursing and medical treatment,and gives speech rehabilitation based on Chinese idioms.Before and after training,the Chinese Rehabilitation Research Center’s "Chinese standard aphasia check volume" is used.Table(CRRCAE)separately understands the two dimensions of the two groups of patients(nouns,verbs,sentences to execute verbal commands),repeats three dimensions(nouns,verbs,sentences),and says five dimensions(name,action description,picture)Description,comic description,fruit example),reading three dimensions(nouns,verbs,sentences)and reading the four language dimensions (nouns,verbs,sentences,execution of text commands)language function evaluation.3.Statistical method: The analysis data was processed by SPSS20.0.The measurement data was expressed by ±S(mean±standard deviation).For the comparison of paired measurement data,if the difference accords with the normal distribution,the paired sample t test is used,and the difference is not For the normal distribution,the paired sample Wilcoxon signed rank test is used.For the comparison of the two sample measurement data,if the sample conforms to the normal distribution,two independent sample t tests are used.If not,the two independent samples Wilcoxon signed rank test is used.The comparison of the composition ratios was performed by chi-square test,and the test level was α=0.05.Result:1.The first part of the study(oral output test of two types of idioms): a total of 65 patients completed the reading test of two types of four-character idioms(stacked and non-overlapping),the patient’s total score of oral output of the idioms For 12.86±1.33,the spoken output of non-overlapping idioms was 6.72±1.57,the difference was statistically significant(P<0.05).The non-fluent aphasia patients had easy to speak to the four-character idioms.The output of non-overlapping idioms,the choice of overlapping idioms as the content of speech rehabilitation training,and the development of speech rehabilitation training based on Chinese idioms.2.The second part of the study(speech rehabilitation training based on Chinese idioms): A total of 63 patients completed speech rehabilitation training based on Chinese idioms,61 cases in the observation group,62 cases in the control group,1before and after training,the observation group was listening comprehension(noun,verbs,sentences,execution of verbal commands),retelling(nouns,verbs,sentences),speaking(naming,action description,caption,manga description,fruit example),pronunciation(noun,verb,sentence)and reading(noun),verbs,sentences,and executive text commands)The scores of each dimension of the project are statistically significant(both P<0.01).The scores of the observation group’s listening comprehension,retelling,speaking,audio reading,and reading items after training.Both were higher than before training;2 before and after the training,the difference between the scores of the picture description dimension,the comic description dimension,and the execution text command dimension of the reading item in the control group was not statistically significant(both P>0.05).Noun dimensions,verb dimensions,sentence dimensions,execution of verbal command dimensions,noun dimensions,verb dimensions,sentence dimensions in the retelling project There are statistics on the naming dimension,the action description dimension,the fruit example dimension,the noun dimension in the audio reading project,the verb dimension,the sentence dimension,the noun dimension in the reading project,the verb dimension and the sentence dimension.Significance(both P<0.05);3 after training,the two groups of patients are listening to understand(nouns,verbs,sentences,execution of verbal commands),retelling(nouns,verbs,sentences),saying(naming,action description,caption,manga Explanations,fruit examples),pronunciation reading(nouns,verbs,sentences)and reading(nouns,verbs,sentences,executive text commands)scores of each dimension of the project are statistically significant(all P <0.01),after training,The scores of the observation groups in the listening comprehension,retelling,speaking,audio reading,and reading items were higher than those in the control group.Conclusion:1.The non-fluent aphasia of stroke patients should be easy to output the spoken idioms of four-character Chinese idioms.The Chinese idioms that are easy to be spoken by patients are selected as the language materials for speech rehabilitation.2.Speech rehabilitation based on Chinese idioms can effectively improve the language output function of listening,retelling,speaking,speaking and reading in patients with non-fluent aphasia.